Individual
DR. TIMOTHY CRAIG WIRT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
351 DELNOR DR STE 401, GENEVA, IL 60134-4235
(630) 933-4056
Mailing address
680 NORTH LAKE SHORE DRIVE, CHICAGO, IL 60611-2987
(312) 695-6868
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016.005856
IL
Other
Enumeration date
06/27/2016
Last updated
08/13/2019
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